Tara K. Moon is a Pediatrics in Olathe, Kansas. Tara K. Moon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Tara K. Moon is 1851391171. The last update date is 2016-11-03.
Tara K. Moon's current location address is 14068 W 147th Pl, Olathe, Kansas. You can contact this provider via phone number 9135935939. The mailing address for Tara K. Moon is 14068 W 147th Pl, Olathe, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara K. Moon |
|---|---|
| Address | 14068 W 147th Pl, Olathe, Kansas |
| Phone Number | 9135935939 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, PT |
NPI Number Detail
| NPI Number | 1851391171 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2016-11-03 |
Provider Mailing Address Detail
| Address | 14068 W 147th Pl |
|---|---|
| City | Olathe |
| State | Kansas (KS) |
| Post Code | 660628869 |
| Phone Number | 9135935939 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 11-03207 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Post Comment/ Review Below
What is the Tara K. Moon's 1851391171?
The Tara K. Moon's NPI (National Provider Identifier) Number is 1851391171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Tara K. Moon's facilities are situated?
The facilities of Tara K. Moon are physically located at the following address: 14068 W 147Th Pl, Olathe, KS, 660628869.
What is the Tara K. Moon's specialty and taxonomy code?
The Tara K. Moon's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851391171 to Tara K. Moon?
The Centers for Medicare & Medicaid Services assigned the 1851391171 to Tara K. Moon on 2005-07-28.
As of what date were the details related to Tara K. Moon most recently updated or revised?
The information pertaining to Tara K. Moon, including its address, specialty, and other relevant details, was last updated or revised on 2016-11-03.